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Colovesical fistulae are primarily present with symptoms related to the lower urinary tract (present in 50-70% of cases). These symptoms include pneumaturia, faecaluria (51%), frequency, urgency, suprapubic pain, recurrent urinary tract infections (UTIs), and hematuria. Due to chronic UTI symptoms, patients with colovesical fistula frequently report numerous courses of antibiotics before referral to a urologist
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